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Case Reports in Medicine
Volume 2012 (2012), Article ID 989104, 3 pages
http://dx.doi.org/10.1155/2012/989104
Case Report

Lower Extremity Cutaneous Lesions as the Initial Presentation of Metastatic Adenocarcinoma of the Colon

1Department of Internal Medicine, Nassau University Medical Center, East Meadow, NY 11554, USA
2Department of Internal Medicine, Mount Carmel Medical Center, Columbus, OH 43222, USA
3Department of Gastroenterology, Nassau University Medical Center, East Meadow, NY 11554, USA

Received 15 December 2011; Revised 9 January 2012; Accepted 19 January 2012

Academic Editor: Abhay R. Satoskar

Copyright © 2012 Dhyan Rajan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cutaneous metastases from colorectal cancers are rare and are usually present on the abdominal wall or previous surgical incision sites. Remote cutaneous lesions have been reported, however, often occur in the setting of widespread metastatic disease including other visceral secondaries. We present a case of lower extremity cutaneous metastases as the first sign of metastatic disease in a patient with adenocarcinoma of the colon. This case illustrates that new skin lesions may be the initial presentation of metastatic disease in a patient with a history of cancer.